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04-5796 (BLCK)3 � BUILDING & SAFETY DEPARTMENT c P.O. Box 1504 (760).777-7012 OFAT'O8,495 CALLE TAMPICO FAX (760) 777-7011 ID w �1j QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 AUG .0 2 2004 BUILDING PERMIT CITY OF LA QUINTA _MPKIR o, n. _N, I i mber . . . . .04-0000-57-96 Date 8/02/04 Property Address . . . . . . 52600 AVENIDA HERRERA APN: 773-294-005-19' -000000- Application description . . . WALL/FENCE Property Zoning . . . . . COVE RESIDENTIAL Application valuation . . . . 3250 Owner Contractor RAYMOND CROWELL OWNER 52600 AVENIDA HERRERA LA QUINTA CA 92253 -----------------------------------------7'---------------------------------- Permit . . . . . WALL/FENCE PERMIT Additional desc Permit Fee . . . . 6_3.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 3250 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,000 18.00 ---------------------------------------------------------------------------- Special Notes and Comments 130 L.F. COMBO WALL, 16" RETAI.NING,-6' GARDEN, CITY STANDARD Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total' 63.00 .00• .00 63.00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 .00 .00 63.00 P.O. Box 1504ICE VOICE (760) 777-7012 79-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: D 4- S7 ?& 6 I Date: R..9-024- Applicant: -c9'd Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm.under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class _ License No. Date Contractor, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects th applicant to a ciyil penalty of not more than five hundred dollars ($500).): I. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U 1, as owner of the property, am exclusivelyFontracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with -a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason ate � caner_ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Cartier Policy Number XI certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. =a� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lendees Name n Lender's Address n APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Ouinta, its officers, agents and employees for any act or omission related to the work being performed under, or following issuance of this permit. 2. Any.permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the abo77,17 property for inspection purposes. S1 N �te _641 v Y ignature (Applicant or Agent): i TiE ESTABLISHED IN 1918 AS A PUBLIC AGENCY 02, �/S�TiR10A COACHELLA VALLEY WATER DISTRICT POST OFFICE BOX 1058 • COACHELLA, CALIFORNIA 92236 • TELEPHONE (760) 398-2651 • FAX (760) 398-3711 DIRECTORS: OFFICERS: JOHN W. McFADDEN, PRESIDENT STEVEN B. ROBBINS, PETER NELSON, VICE PRESIDENT GENERAL MANAGER -CHIEF ENGINEER TELLIS CODEKAS JULIA FERNANDEZ, SECRETARY RUSSELL KITAHARA DAN PARKS, ASST. TO GENERAL MANAGER PATRICIA A. LARSON REDWINE AND SHERRILL, ATTORNEYS October 9, 2003 File: 1112. Pam Spurlock 78-730 Cove Place Bermuda Dunes, California 92201 Dear Ms. Spurlock: Subject: Account No. 52-600 Avenida Herrera, La Quinta In researching our records, we found that the above -referenced property has not met the sewer requirements of the district. The district has no record of receiving a signed petition for annexation or the payment of sewer fees, which would authorize connection to the sewer system. If you have any questions please contact Rosie Anacleto, Customer Service Representative, extension 2420. Yours very truly, Richard Shonerd Customer Service Supervisor RIA:ra bc: City of La Quinta Post Office Box 1504 La Quinta, California 92253 .._ ... _ TRUE CONSERVATION USE WATER WISELY